Active NPI
Paul Solmayor, MSW
- Social Worker
- Covina, CA
National Provider Identifier
1871624049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 97091
- Practice address
- 1411 N Grand Ave
Suite #100
Covina, CA 91724-1001 - Phone
- (626) 395-7100
- Fax
- (626) 974-8114
- NPI assigned
- Mar 8, 2007
- Last updated
- Jun 22, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 97091 | CA | |
| Social Worker | 104100000X | NU | ||
| Social Worker | 104100000X | 97091 | CA | Primary |
Addresses
Primary practice location
1411 N Grand Ave
Suite #100
Covina, CA 91724-1001
Mailing address
1411 N Grand Ave
Suite #100
Covina, CA 91724-1001
Phone (626) 395-7100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 97091 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hathaway-Sycamores Child & Family Services | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sycamores
- Mental Health Counselor
- Palmdale, CA
- NPI 1033315700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1871624049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 N GRAND AVE",
"address_2": "SUITE #100",
"city": "COVINA",
"state": "CA",
"postal_code": "917241001",
"telephone_number": "626-395-7100",
"fax_number": "626-974-8114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 N GRAND AVE",
"address_2": "SUITE #100",
"city": "COVINA",
"state": "CA",
"postal_code": "917241001",
"telephone_number": "626-395-7100",
"fax_number": "626-974-8114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLMAYOR",
"first_name": "PAUL",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "97091",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "97091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.